View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Compliance Review
 
No Modified
 
Mandatory
 
45 CFR 160.310 45 CFR 160.308

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10662 Yes Yes Fillable Printable
Form and Instruction CMS-10662 Yes Yes Fillable Printable
Form and Instruction CMS-10662 Yes Yes Fillable Printable
Form and Instruction CMS-10662 Yes Yes Fillable Printable
Form and Instruction CMS-10662 Yes Yes Fillable Printable

Health Health Care Services

 

100 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 100 0 50 0 0 50
Annual IC Time Burden (Hours) 1,000 0 500 0 0 500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Track Change - Operating_Rule_Response_Attestation 06/06/2025
Track Change - Compliance_Review_Package 06/06/2025
Assessment_Draft_Findings_Report 06/06/2025
Notice of Compliance Review Closure 06/06/2025
Notice_of_CR_Closure_No_Violations 06/06/2025
Follow_Up_Request_For_Information 06/06/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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